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Case Reports
October 1947

TRANSPOSITION OF AORTA AND PULMONARY ARTERY: With Intact Interventricular Septum, Patent Foramen Ovale and Closed Ductus Arteriosus

Am J Dis Child. 1947;74(4):476-480. doi:10.1001/archpedi.1947.02030010489007

IMPROVED methods in the diagnosis and treatment of congenital heart disease have revived interest in cardiac anomalies. Correct diagnosis requires a thorough knowledge of these anomalies and of the abnormal circulation resulting from them. A comparatively rare group of cardiac anomalies occurs with transposition of the great arterial trunks. The transposition is usually associated with interventricular septum defect, open foramen ovale and patent ductus arteriosus. It is also not unusual for the transposition to be associated with any two of the aforementioned communications. However, transposition of the arterial trunks with an open foramen ovale alone is exceedingly rare.

In a tabulation of 92 cases of transposition of the great arterial trunks, Kato1 listed 9 such instances. He omitted the case of Owen and Kingsbury2 and that of Moore3 but added 1 of his own. The case here reported is an example of this type of anomaly, namely,